Individual
NICOLE JEAN KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 PARK ST, LEWISTON, ME 04240-7195
(207) 333-1080
Mailing address
37 PARK ST, LEWISTON, ME 04240-7195
(207) 333-1080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4283
ME
Other
Enumeration date
03/18/2009
Last updated
08/28/2024
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